PONDER, COREY EUGENE - Licensee Information

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

PONDER, COREY EUGENE

Practice Address:	13401 N WESTERN AVE. STE. 301 OKLAHOMA CITY OK 73114 Address last updated on 5/2/2023
Phone #:	(405) 218-2530
Fax #:
County:	OKLAHOMA
License:	22884
Dated:	6/1/2004
Expires:	6/1/2024
License Type:	Medical Doctor
Specialty:	Orthopedic Surgery Adult Reconstructive Orthopedics

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 2002
CME Year:	2025

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF ORTHOPAEDIC SURGERY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO Beechstreet PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO CCN Managed Care Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc Coventry Health Care National Network Dept of Rehabilitation Services (DRS) Evolutions Healthcare First Health Galaxy Health Network Global Health HMO Great West Healthcare Guidestar Health Systems Health Payors Organization (HPO) Health Smart Preferred Care (HSPC) HealthChoice Heartland Health Plan of Oklahoma Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO Oklahoma Health Network PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) Physicians Direct Network PPO Oklahoma PPO USA Preferred Community Choice Preferred Health Network-ppoNEXT Private Healthcare Systems (PHCS) Railroad Medicare Secure Horizons HMO SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard UniCare Health Plans of Oklahoma United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS United Insurance Welcor/Sooner Worknet of Oklahoma
Hospital Privileges:	Bone and Joint Hospital (SSM Health) Oklahoma City, OK St. Anthony Hospital (SSM Health) Oklahoma City, OK

Locations:	Hours:	Languages:
13401 N WESTERN AVE. STE. 301 OKLAHOMA CITY OK 73114 Phone #: (405) 218-2530 Fax #:	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:
608 NW 9th Suite 6000 Oklahoma City, OK 73102 Phone #: (405) 360-6764 Fax #: (1) 201-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
BEAU JAMES BURTON	PA	2526
MORGAN AMANDA GOSSEN	PA	2462
KALIN T HEATON	PA	4673
MARK DANIEL JOHNSON	PA	485
HEATHER COLLIGAN KUKLINSKI	PA	1405
GRANT DAVID ROBERTS	PA	1204
ROBERT B ROGERS	PA	1242
MICHAEL LYNN SANDERSON	PA	1808
TAYLOR PAIGE TAMAGE	PA	4633
CHRISTOPHER TODD TRAVIS	PA	1404

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